APPENDIX-“C”
FORM OF CERTIFICATE TO BE PRODUCED BY OTHER BACKWARD CLASSES
APPLYING FOR APPOINTMENT TO POST UNDER THE GOVERNMENT OF INDIA
This is to certify that ____________________________________________son of
______________________________________of village
___________________District/Division
__________________________in the belongs to the __________________community which is
recognized as a backward class under the Government of India Resolution No. 12011/68/93-
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BC(C). dated the 10 September, 1993 published in the Gazette of India-Extraordinary-Part-I,
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Section-1 No. 186 dated the 13 September 1993.
(ii) Government of India, Ministry of Welfare Resolution No. 12011/9/94-BCC, dated
19.10.1994 published in Gazette of India extraordinary Part-I Section-1 No. 163 dated 20.10.94.
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(iii) Resolution No. 12011/7/95-BCC, dated the 24 May, 1995 in the Gazette of India-
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Extraordinary-Part-I, Section-1 No. 88 dated 25 May, 1995.
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(iv) Resolution No. 12011/44/96-BCC, dated 16 Dec 1996 published in Gazette of India-
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Extraordinary-Part-I, Section-1 No. 210 dated, the 11 Dec 1996.
Shri _________________________________and / or his family ordinary resident(s) in the
________________________ District/Division of the _____________________ State. This is
also to certify that he/she does not belong to the persons/sections (Creamy Layer) mentioned in
column 3 of the Schedule to the Government of India, Department of Personnel & Training O.M.
No. 36012/22/93-Estt(Sct), dated 8.9.93.
District Magistrate/
Dated : Deputy Commissioner etc.
Seal
Note:(a) The term “Ordinarily” used here will have the same meaning as Section 20 of the
Representation of the people Act, 1950
(b) The authorities competent to issue caste certificate are indicated below:-
(i) District Magistrate/Additional Magistrate/ Collector/ Deputy Commissioner /Additional
Deputy Commissioner/ Deputy Collector/ First class stipendiary Magistrate / Sub-Divisional
Magistrate/ Taluka Magistrate/ Executive Magistrate/ Extra Asstt Commissioner (Not below the
rank of First class stipendiary Magistrate)
(ii) Chief presidency Magistrate/ Additional Chief presidency Magistrate/ Presidency Magistrate
(iii) Revenue Officer not below the rank of Tehsildar, and
(iv) Sub-Divisional Officer of the area where the candidate and / or his family resides.